AzTrials
AzTrials

SchizophreniaPhase 2NCT04421456

Trial to Investigate the Safety and Efficacy of GWP42003-P Versus Placebo as Adjunctive Therapy in Participants With Schizophrenia Experiencing Inadequate Response to Ongoing Antipsychotic Treatment

A Phase 2 study testing GWP42003-P in people with Schizophrenia, run by Jazz Pharmaceuticals at 39 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

This study will be conducted to evaluate the efficacy, safety, and tolerability of GWP42003-P versus placebo in participants with schizophrenia experiencing inadequate response to ongoing antipsychotic treatment. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Schizophrenia
What is being tested?
GWP42003-P
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
95 participants
Where
39 sitesin 4 countries
Study dates
18 Aug 2020to 16 Mar 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Male or female 18 to 55 years of age at the time of signing the Informed Consent Form (ICF)
  • Willing and able to give informed consent for participation in the trial
  • Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis of schizophrenia, confirmed by the Mini International Neuropsychiatric Interview (MINI)
  • Clinically stable outpatient
  • Positive and Negative Symptoms Scale (PANSS) Total (PANSS-T) score of ≥ 60 and < 110 at screening and baseline visits
  • Score of ≥ 4 for at least 2 of the following PANSS items: delusions (P1), conceptual disorganization (P2), hallucinatory behavior (P3), suspiciousness (P6), somatic concern (G1), or unusual thought content (G9) at screening visit
Show all 11Show fewer
  • Score ≥ 4 (at least moderately ill) on the Clinical Global Impression of Severity (CGI-S) at screening visit.
  • Undergoing treatment with at least 1 antipsychotic medication with no change in dosing, supported by documentation, for at least 8 weeks prior to screening and no change in antipsychotic medication dosing planned throughout the trial
  • Taking a maximum of 2 antipsychotic medications. For participants taking oral antipsychotic medications only, the sum of primary and secondary antipsychotic medications is ≤ 30 milligrams (mg)/day of oral olanzapine equivalents. For participants taking long-acting injectable antipsychotic medications, the dose is within the range approved and any secondary oral antipsychotic medications is ≤ 5 mg/day of oral olanzapine equivalents.
  • Documented response (at least partially) to treatment with current antipsychotic medications (e.g., treatment of recent exacerbation of psychotic symptoms)
  • On a stable dose if taking concomitant psychotropic medications and within allowed limits, including antidepressants, anxiolytics, anticholinergics and/or antiepileptics for at least 4 weeks prior to screening (dose reductions ≤ 25% of total dose are permitted) with no plans to change dosing during the trial (i.e., from screening onwards). Valproic acid or any prescribed valproate product (valproate semisodium or valproate sodium) is disallowed within 4 weeks (i.e., more than 5 half lives) prior to the baseline visit.

Who cannot join

  • Diagnosis and Psychiatric History
  • Recent (within the last 3 months prior to screening) diagnosis of panic disorder, depressive episode, or other comorbid psychiatric conditions based on the MINI for Psychotic Disorders Studies (or DSM-5) OR has PANSS item G6 score of ≥ 5 (depression) at screening.
  • Any psychiatric disorder that may interfere with the conduct of this trial, including but not limited to attention deficit hyperactivity disorder, pervasive developmental disorder, intellectual disability, personality disorder that might interfere with compliance or increase suicidal risk, manic or hypomanic episode, or any other psychotic disorder, as defined in the DSM-5
  • Current diagnosis or a history of substance use disorder according to DSM-5 criteria within 6 months prior to screening or prior chronic substance abuse judged likely to recur during the trial period by the investigator. Nicotine use or occasional cannabis use (≤ 3 days per week recreational cannabis use) is acceptable. Corroboration of the participant's frequency of cannabis use by an adult informant (e.g., family member, social worker, caseworker, residential facility staff, or nurse), should be obtained if the participant has a positive urine test for Δ9-tetrahydrocannabinol at screening.
  • A positive drug screen for opiates, methadone, cocaine, amphetamines (including ecstasy), or barbiturates; a repeat drug screen may be done to verify the result.
  • Any history of suicidal behavior or any suicidal ideation of type 4 or 5 on the adult C-SSRS or within 1 month prior to screening
Show all 17Show fewer
  • Treatment History
  • Treatment-resistant schizophrenia as judged by the treating physician and as defined by having previously demonstrated no response to > 2 trials of antipsychotic trial medications at therapeutic doses or required clozapine therapy due to non-response to antipsychotic therapy within the previous 6 months.
  • Based on the investigator assessment, current antipsychotic medication blood levels are below the therapeutic range if therapeutic drug monitoring is available for the antipsychotic(s) prescribed for the participant; or there is no documentation confirming the administration of long-acting injectable antipsychotic medication within the approved dose range and as prescribed by the treating physician.
  • Past and Current Medical History
  • History of moderate or severe head trauma (for example, loss of consciousness for more than 15 minutes) or other neurological disorders (including epilepsy), neurodegenerative disorder (Alzheimer's disease, Parkinson's disease, multiple sclerosis, Huntington's disease, etc.) or systemic medical diseases that are, in the opinion of the investigator, likely to interfere with the conduct of the trial or confound the trial assessments
  • Tardive dyskinesia (TD) that is moderate to severe (i.e., a score of > 21 on the dyskinesia subscale of the Extrapyramidal Symptom Rating Scale [ESRS] at screening) or requires treatment
  • Any other significant disease, disorder, pending court proceedings or social circumstances which, in the opinion of the investigator, may either put the participant at risk because of participation in the trial, may influence the result of the trial, or may affect the participant's ability to take part in the trial.
  • Other
  • Any known or suspected hypersensitivity to cannabinoids or any of the excipients of the investigational medicinal product, such as sesame seed oil
  • One or more laboratory values outside the normal range, based on the blood or urine samples taken at the screening visit, that are considered by the investigator to be clinically significant; or impaired hepatic function at screening, defined as serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2 × upper limit of normal (ULN) or total bilirubin (TBL) > 1.5 × ULN or international normalized ratio (INR) > 1.2 (TBL ULN parameter not applicable for participants diagnosed with Gilbert's disease)
  • Currently using or within 3 months of screening has used cannabidiol (CBD) oil or purified CBD preparations and is unwilling to abstain for the duration of the trial

Trial locations and contacts

39 sites in 4 countries.

39 sites in 4 countries

United States19 sites
  • Clinical Trial Site

    Beachwood, Ohio, 44122

  • Clinical Trial Site

    Bentonville, Arkansas, 72712

  • Clinical Trial Site

    Berlin, New Jersey, 08009

  • Clinical Trial Site

    Cedarhurst, New York, 11516

  • Clinical Trial Site

    Garden Grove, California, 92845

  • Clinical Trial Site

    Largo, Florida, 33770

  • Clinical Trial Site

    Las Vegas, Nevada, 89102

  • Clinical Trial Site

    Lauderhill, Florida, 33319

  • Clinical Trial Site

    Lemon Grove, California, 91945

  • Clinical Trial Site

    Lincolnwood, Illinois, 60712

  • Clinical Trial Site

    Little Rock, Arkansas, 72211-3702

  • Clinical Trial Site

    New York, New York, 10035

  • Clinical Trial Site

    Oakland, California, 94607-3900

  • Clinical Trial Site

    Pico Rivera, California, 90660-4920

  • Clinical Trial Site

    Richardson, Texas, 75080

  • Clinical Trial Site

    Rochester, New York, 14618

  • Clinical Trial Site

    Shreveport, Louisiana, 71101

  • Clinical Trial Site

    St Louis, Missouri, 63118

  • Clinical Trial Site

    Tampa, Florida, 33614

Other trials in United States

Poland8 sites
  • Clinical Trial Site

    Bełchatów, 97-400

  • Clinical Trial Site

    Gdansk, 80-438

  • Clinical Trial Site

    Kielce, 25-411

  • Clinical Trial Site

    Kobierzyce, 55-040

  • Clinical Trial Site

    Poznan, 60-369

  • Clinical Trial Site

    Torun, 87-100

  • Clinical Trial Site

    Wroclaw, 50-227

  • Clinical Trial Site

    Wroclaw, 54-617

Other trials in Poland

Serbia8 sites
  • Clinical Trial Site#1

    Belgrade, 11000

  • Clinical Trial Site#2

    Belgrade, 11000

  • Clinical Trial Site#1

    Kovin, 26220

  • Clinical Trial Site#2

    Kovin, 26220

  • Clinical Trial Site#1

    Kragujevac, 34000

  • Clinical Trial Site#2

    Kragujevac, 34000

  • Clinical Trial Site#3

    Kragujevac, 34000

  • Clinical Trial Site

    Niš, 11000

Other trials in Serbia

Spain4 sites
  • Clinical Trial Site

    Barcelona, 08036

  • Clinical Trial Site

    Oviedo, 33011

  • Clinical Trial Site

    Salamanca, 37005

  • Clinical Trial Site

    Valladolid, 47016

Other trials in Spain

About this study

Official title: A Randomized, Double-blind, Parallel-group Trial to Investigate the Safety and Efficacy of GWP42003-P Versus Placebo as Adjunctive Therapy in Participants With Schizophrenia Experiencing Inadequate Response to Ongoing Antipsychotic Treatment

This study will be conducted to evaluate the efficacy, safety, and tolerability of GWP42003-P versus placebo in participants with schizophrenia experiencing inadequate response to ongoing antipsychotic treatment.

Conditions
Schizophrenia
Being tested
GWP42003-P, Placebo
Keywords
GWP42003-P, adjunctive therapy, inadequate response to ongoing antipsychotic treatment
Medical subject headings
Schizophrenia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GWP42003-PDrug

    oral solution containing 100 milligrams per milliliter (mg/mL) cannabidiol (CBD) dissolved in the excipients sesame oil and anhydrous ethanol (10% v/v), with sweetener (sucralose), and strawberry flavoring

  • PlaceboDrug

    oral solution containing the excipients sesame oil and anhydrous ethanol, with added β-carotene, sweetener (sucralose), and strawberry flavoring

Study groups in NCT04421456
Study groupRoleWhat they receive
GWP42003-P 300 mgExperimentalGWP42003-P 300 milligrams (mg) per day
Receives: Drug: GWP42003-P
PlaceboPlacebo comparatorMatching placebo
Receives: Drug: Placebo
GWP42003-P 1000 mgExperimentalGWP42003-P 1000 mg per day
Receives: Drug: GWP42003-P

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Least Square Mean Change From Baseline in the Positive and Negative Symptoms Scale (PANSS) Total (PANSS-T) Score

    The PANSS-T is a medical scale used for measuring symptom severity of participants with schizophrenia or related psychotic disorder. It is a 30-item rating instrument that assesses the positive and negative symptoms of schizophrenia as well as symptoms of general psychopathology. Individual items are rated on a 7-point scale, where 1 = absent and 7 = extreme. A PANSS-T score is derived from the sum of the 30 items and the total score ranges from 30 to 210, where higher scores represent worse outcome. The least square mean change from baseline is being reported and negative values indicate an improvement in outcome.

    Measured: Baseline up to Week 12

  2. Least Square Mean Change From Baseline in the PANSS Positive Subscale (PANSS-P) Score

    The PANSS 'P' Scale was calculated as the sum of the items prefixed with an P, 7 items in total, i.e. delusions, conceptual disorganization, hallucinatory behavior, excitement, grandiosity, suspiciousness/persecution and hostility. Individual items are rated on a 7-point scale, where 1 = absent and 7 = extreme. The least square mean change from baseline is being reported and negative values indicate an improvement in outcome.

    Measured: Baseline up to Week 12

  3. Least Square Mean Change From Baseline in the PANSS Negative Subscale (PANSS-N) Score

    The PANSS 'N' Scale will be calculated as the sum of the items prefixed with an N, 7 items in total, i.e. blunted affect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, difficulty in abstract thinking, lack of spontaneity and flow of conversation and stereotyped thinking. Individual items are rated on a 7-point scale, where 1 = absent and 7 = extreme. The least square mean change from baseline is being reported and negative values indicate an improvement in outcome.

    Measured: Baseline up to Week 12

  4. Least Square Mean Change From Baseline in the PANSS General Subscale (PANSS-G) Score

    The PANSS 'G' Scale will be calculated as the sum of the items prefixed with a G, 16 items in total, i.e. somatic concerns, anxiety, guilt feelings, tension, mannerisms and posturing, depression, motor retardation, uncooperativeness, unusual thought content, disorientation, poor attention, lack of judgment and insight, disturbance of volition, poor impulse control, preoccupation and active social avoidance. Individual items are rated on a 7-point scale, where 1 = absent and 7 = extreme. The least square mean change from baseline is being reported and negative values indicate an improvement in outcome.

    Measured: Baseline up to Week 12

  5. Least Square Mean Change From Baseline in the Clinical Global Impression of Severity (CGI-S) Score

    The CGI-S is a 7-point scale used to rate the severity of participants' illness at the time of assessment. Considering total clinical experience, a participant will be assessed on severity of mental illness at the time of rating 0 = not assessed; 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; or 7 = among the most extremely ill participants. The least square mean change from baseline is being reported and negative values indicate an improvement in outcome.

    Measured: Baseline up to Week 12

  6. Number of Participants With Minimally or Better Clinical Global Impression of Improvement (CGI-I) Score at Week 12

    The CGI-I is a 7-point scale used to rate the improvement of participants' condition at the time of assessment. Compared to the patient's condition at baseline, the participants' condition was rated as 1 = very much improved since initiation of treatment; 2 = much improved; 3 = minimally improved; 4 = no change from baseline; 5 = minimally worse; 6 = much worse; 7 = very much worse since the initiation of treatment. Higher scores indicate a worse outcome. The number of participants with minimally or better improvements (score of 3 or better) are being reported.

    Measured: Week 12

Secondary outcomes (10)
  1. Mean Change From Baseline in Body Weight

    Measured: Baseline up to Week 12

  2. Mean Change From Baseline in Body Mass Index (BMI)

    Measured: Baseline up to Week 12

  3. Mean Change From Baseline in Waist Circumference

    Measured: Baseline up to Week 12

  4. Mean Change From Baseline in Blood Pressure

    Measured: Baseline up to Week 12

  5. Mean Change From Baseline in Heart Rate

    Measured: Baseline up to Week 12

  6. Mean Change From Baseline in Respiratory Rate

    Measured: Baseline up to Week 12

  7. Mean Change From Baseline in Temperature

    Measured: Baseline up to Week 12

  8. Number of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory Test Results

    Measured: Day 85

  9. Number of Participants With Defined Flagged Electrocardiogram (ECG) Parameter Values

    Measured: Day 85

  10. Number of Participants With Suicidal Ideation or Behavior Based on The Columbia Suicide Severity Rating Scale (C-SSRS)

    The C-SSRS is a short questionnaire that is used to assess suicidal ideation (5 questions) and behavior (5 questions) since last patient visit. The questionnaire is completed by participants answering yes or no to each question.

    Measured: Baseline (screening) up to Day 85

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jun 2020
  2. Study start18 Aug 2020
  3. Primary completion16 Mar 2022
  4. Study completion16 Mar 2022

Why it stopped: This study was terminated based on a business decision by the Sponsor.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
95 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04421456
Sponsor's protocol ID
GWAP19030
Other IDs
2019-003369-16, 2019
Status last verified
Jun 2023
First submitted
27 May 2020
Last updated
15 Jun 2023
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GWP42003-P in people with Schizophrenia, run by Jazz Pharmaceuticals at 39 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 15 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States, Poland, Serbia, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Jun 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Least Square Mean Change From Baseline in the Positive and Negative Symptoms Scale (PANSS) Total (PANSS-T) Score (time frame: Baseline up to Week 12). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jun 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in